Individual provider Active NPI

Jonathan Carrere

  • Ophthalmology Physician
  • Thibodaux, LA
National Provider Identifier
1265828289
Registry record updated Nov 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
T-2928 Issued in MS
Practice address
101 Saint Bernard St
Thibodaux, LA 70301-6549
Phone
(985) 446-0506
NPI assigned
Apr 7, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X T-2928 MS Primary
Ophthalmology Physician 207W00000X MD.311946 LA

Addresses

Primary practice location

101 Saint Bernard St
Thibodaux, LA 70301-6549

Mailing address

101 Saint Bernard St
Thibodaux, LA 70301-6549
Phone (985) 446-0506

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jcarrere@advancedeyeinstitute.intellechartdirect.net Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190624001289 LA Practitioner - Ophthalmology 2567778293 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Louisiana State University School of Medicine in New Orleans, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Eye Institute LLCGroup PAC ID 9133458292, 5 clinicians

Practice addresses (Care Compare)

101 Saint Bernard St
Thibodaux, LA 70301-6549
Phone (985) 446-0506

Hospital & facility affiliations

  • Thibodaux Regional Medical Center Hospital, Thibodaux, LA, CCN 190004
  • Terrebonne General Medical Center - Parish Hospital, Houma, LA, CCN 190008

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery394
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD.311946LAMDOphthalmology Physician
T-2928MSMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Eye Institute LLC Ophthalmology CurrentSince Oct 1, 2019 Accepting new patients
Thibodaux Laser and Surgery Center, LLC Current Accepting new patients
Thibodaux Laser and Surgery Center, LLC Current Accepting new patients

Locations

268 Corporate Dr
Houma, LA 70360
Phone (985) 879-2393

469 Corporate Dr
Houma, LA 70360

1301 Victor II Blvd
Morgan City, LA 70380
Phone (985) 372-2399

5138 Highway 1
Raceland, LA 70394
Phone (985) 446-0506

4608 Highway 1
Raceland, LA 70394
Phone (504) 537-6841

4690 Highway 1
Raceland, LA 70394
Phone (985) 532-3042

1101 Audubon Ave
Ste N5
Thibodaux, LA 70301
Phone (504) 446-0506

22140 Highway 20
Ste B
Vacherie, LA 70090
Phone (225) 265-8555

Interoperability endpoints

  • Direct secure messaging: jcarrere@advancedeyeinstitute.intellechartdirect.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1428364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669075200000",
    "number": "1265828289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 SAINT BERNARD ST",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703016549",
            "telephone_number": "985-446-0506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 SAINT BERNARD ST",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703016549",
            "telephone_number": "985-446-0506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRERE",
        "first_name": "JONATHAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-07",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MS",
            "license": "T-2928",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "LA",
            "license": "MD.311946",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jcarrere@advancedeyeinstitute.intellechartdirect.net",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "101 Saint Bernard St",
            "city": "Thibodaux",
            "state": "LA",
            "country_code": "US",
            "postal_code": "703016549",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Thibodaux, LA

Sources for this page

Verify at the official NPI Registry.